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Kidney Week

Abstract: FR-PO633

Autophagy Knockout Results in ERK Activation, Increased Proliferation, and Apoptosis of Cyst-Lining Epithelial Cells and Worse Polycystic Kidney Disease

Session Information

Category: Genetic Diseases of the Kidneys

  • 1201 Genetic Diseases of the Kidneys: Cystic

Authors

  • Atwood, Daniel, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States
  • He, Zhibin, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States
  • Miyazaki, Makoto, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States
  • Hopp, Katharina, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States
  • Edelstein, Charles L., University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States
Background

Studies remain contradictory and the mechanistic role of autophagy in cyst growth. Autophagy has not been detailed in rodent and cell models translational to the human disease.

Methods

Mice were treated with chloroquine at a dose of 60mg/kg from 50-120 days. An array of mTOR and autophagy proteins was measured in the kidney by immunoblot analysis. Apoptosis and proliferation were measured by TUNEL and PCNA IHC respectively. Cells were treated with 25 or 50uM tat-beclin1 peptide for 4 or 24hrs

Results

Suppressed autophagic flux (lack of increase in LC3-II in kidney 2 hrs after IP bafilomycin injection) was observed in 150 d old, but not 70 or 120 d old Pkd1RC/RC kidneys. Pharmacological inhibition of autophagy with chloroquine from an early age suppressed autophagic flux in Pkd1RC/RC kidneys, but had no effect on PKD severity. Knockout of autophagy (ATG7) in kidney tubule specific Pkd1 knockout mice, a rapid model of cyst growth, had no effect on cyst growth or kidney function. Knockout of ATG7 in Pkd1RC/RC mice, a slower and more clinically-relevant model of PKD, resulted in activation of p-ERK, a surge of apoptosis and proliferation of cyst lining epithelial cells and severely worse PKD (See Table). In human PKD 9-12 cells, autophagy induction with Tat-beclin 1 peptide resulted in increased conversion of LC3-I to LC3-II, decreased p-ERK and decreased proliferation and apoptosis (See table).

Conclusion

In vivo, autophagy knockout activates p-ERK resulting in a surge of proliferation and apoptosis in cyst lining epithelial cells and worse PKD. In vitro, autophagy induction resulted in decreased p-ERK decreased proliferation and apoptosis. In conclusion, there is an abnormal autophagy, ERK, proliferation/apoptosis axis in cells lining the cyst in ADPKD. Cre-lox technology was used to create ATG7, RC/RC double knockout mice

In VivoPkd1RC/RCPkd1RC/RC ATG7-/-In VitroVEHTat-Beclin1 25uM
2K/BW (%)2.13.6#PCNA/β-actin1.21.0*
Cyst Index (%)926***MTT OD(590)0.40.2#
Cyst #160491***AnnexinV (% gated)233.5#
PCNA+ per cysts522***LC3-I/LC3-II (RDU)0.41.0***
TUNEL+ per cyst1.130.1**p/t-ERK (RDU)2.31.1**
LC3-I/LC3-II (RDU)0.94** 
p/t-ERK (RDU)0.91.4* 

*P<0.01,**P<0.01, ***P<0.001, #P>0.0001. RDU=relative densitometry units on immunoblot

Funding

  • Veterans Affairs Support